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CHANGE ORDER NO. 1
CWOTS No: 1865T11
Applicant: City of Fort Worth
THIS CHANGE ORDER IS EXECUTED IN DUPLICATE AS FOLLOWS:
X First Original (AT&T Texas) Second Original (Applicant)
CONTRACT CHANGE ORDER No. 1 DATE: 6-18-12
1. The following is an amendment to the terms and conditions of CWOTS No. 1865T11
Cost increase due to increase in contractor cost.
2. The estimated cost in the CWOTS issued in this matter is adjusted to the following amount:
TOTAL ESTIMATED COST:
Review of CWOTS Estimated Cost
A. Original CWOTS Estimated Cost $ 1009040.84
B. Net Sum of Previously Authorized Change Orders $ 000.00
C. Present CWOTS Cost $ 100,040.84
D. This Change Order $ 51589.22
E. New CWOTS Estimated Cost $ 1059630.06
This Change Order entered into as of the day and vear indicated below, by signature amends and modifies the
original CWOTS agreement between Southwestern Bell Telephone Company d/b/a/AT&T Texas and Applicant
Southwestern Bell Telephone Company City o Worth
d/b/a AT&T Texas f.
Title: Manager Construction &En4i� iO�La Title: �I
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Printed Name: Karen Rose §�Aoo� Q��� °oa�y�� Printed Name: W1 ►Cy 0
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Date: June 18, 2012 �0g 0064 Date: ��6 /Z
by: Q¢�o o��
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� � �a A s��a By.
J. Kayser, City g �tio��
Title.
AP 0 �4S T FORM AND LEGALITY
Printed Name: i�vwyfj
CI N E Y Date: � ��
OFFICIAL RECORD NO M&C REQUIRED
CITY SECRETARY
FT. WORTH, TX